Presentation
Severe hand and feet pain
Patient Data
Age: 65 years
Gender: Male
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Gross arthritic change in the MCPs with hook osteophytes (arrows) and relative sparing of the 1st metacarpal bases as well as the DIPs and PIPs.
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Ankles are also arthritic with hook osteophytes especially involving the talo-navicular articulations.
Case Discussion
Long-standing, biopsy proven hemochromatosis.
It is difficult to separate primary osteoarthritis and hemochromatosis-associated arthropathy. The major distinguishing features are patients being younger males with affected joints being the wrists and MCPs, whereas osteoarthritis affects the first MCP base as well as the PIPs and DIPs in a patient population of older women. Hook or beak-like osteophytes are a feature of hemochromatosis.
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